Chesaning Family Dental PC
Organization Active NPI Dentist · Chesaning, MI
NPI 1821171992 · NPPES record last updated Jul 14, 2008
Key facts
- NPI
- 1821171992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 16049 (MI)
- Legal business name
- CHESANING FAMILY DENTAL PC
- Practice address
- 1109 W Broad Street
Chesaning, MI 48616 - Phone
- (989) 845-7242
- Fax
- (989) 845-7300
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Victoria L Henige
- Title
- Manger
- Phone
- (989) 845-7242
Practitioners 3
-
Fadi Jamal Matti, DMD
-
Jerry John Skaryd, DDS
National Provider Directory
Locations
1109 W Broad St
Chesaning, MI 48616
Phone (989) 845-7242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 16049 | MI | Yes |
Addresses
Primary practice location
1109 W Broad Street
Chesaning, MI 48616
Mailing address
1109 W Broad Street
Chesaning, MI 48616
Phone (989) 845-7242
Other providers in Chesaning, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.